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790 NE 95 St (9)S gs- -o7 �G Permit No MBAMB SHORES VUL LAGS PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othee structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Floaide, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of. Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications moors by kept oc building during progress of work. Owner's Name and Address Registered Architect and /or Engineer £tnployin; Plumber's Name el A ID n t i -- -67�.v, C Location and Legal Descripti Lot. f 9!j— Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_ New Building.._..._ __.._... -.- • - -•_ -. Remodeling___ _____ Addition. .- _ LO No. .7 9,f Bloc SubdivIs on._ �_. '7 `7 t/ Street_. Retie- - S T ...... Size Septic Tank -- Type of Tank__ Feet of Drain Tile ____Dist. Feet of Tank oe Drain Field from Well .. ._.__._ Nature of Water Supply: City —We1L /`/ Size of Soakage Pit 7 _ iOf Amount of Permit ( Signed) _N S._ 4)% 0 _.- Plumbing Insp ctor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and ht' com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor;. to be performed under this permit; and will post or cause to be posted' for inspection on the site of the ch public notice or notices nd are required by the Act. The undersigned agrees to employ only such sub- contractors, „ work 1 nder this permit, as are licensed by Miami Shores Village. (Si Repairs No. of Storied Mutes Plumbzr. STATE OF FLORIDA, t ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclamwledgmente, perorrilly appeared to me well known, and who, being by me first duly swan, upon oath deposes and says that be is the .........._.... - .. _ _ ..._. of the above described construction, that he has carefully read the foregoing application, and that he did dgn the same, and that all facie therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made whoa smith misspeation le seade•aeeessery by improper notice fee fnspectieue, feelltp materials and /or workmanship. CLOECTO BATH TUBE SHOWERS LAVA TORIES SINKS SLOP SINKS LAUNDRY Tune UR CATCH DAAIN FLOOR DRAIN DRINKING FOUNT' Ns TOTAL PIIITUgao CONTR. LIST — — CHECK SEPTIC TANK SEWER CONN. DRAIN FiELO SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM OW IM'0 POOL CONTR. LIST CHECK S gs- -o7 �G Permit No MBAMB SHORES VUL LAGS PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or othee structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Floaide, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of. Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications moors by kept oc building during progress of work. Owner's Name and Address Registered Architect and /or Engineer £tnployin; Plumber's Name el A ID n t i -- -67�.v, C Location and Legal Descripti Lot. f 9!j— Street and Number where work is to be performed —No State work to be performed and purpose of building (By Floors)_ New Building.._..._ __.._... -.- • - -•_ -. Remodeling___ _____ Addition. .- _ LO No. .7 9,f Bloc SubdivIs on._ �_. '7 `7 t/ Street_. Retie- - S T ...... Size Septic Tank -- Type of Tank__ Feet of Drain Tile ____Dist. Feet of Tank oe Drain Field from Well .. ._.__._ Nature of Water Supply: City —We1L /`/ Size of Soakage Pit 7 _ iOf Amount of Permit ( Signed) _N S._ 4)% 0 _.- Plumbing Insp ctor. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and ht' com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the wor;. to be performed under this permit; and will post or cause to be posted' for inspection on the site of the ch public notice or notices nd are required by the Act. The undersigned agrees to employ only such sub- contractors, „ work 1 nder this permit, as are licensed by Miami Shores Village. (Si Repairs No. of Storied Mutes Plumbzr. STATE OF FLORIDA, t ss. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take aclamwledgmente, perorrilly appeared to me well known, and who, being by me first duly swan, upon oath deposes and says that be is the .........._.... - .. _ _ ..._. of the above described construction, that he has carefully read the foregoing application, and that he did dgn the same, and that all facie therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made whoa smith misspeation le seade•aeeessery by improper notice fee fnspectieue, feelltp materials and /or workmanship. Date Legal Description 56KT ON Owner / Lessee / Tenant Owner's Address Contrac Co. Qualifier erdoOtleM State # / unicipal # Competency # 2X,1 7Ins.Co. Architect /Engineer Address Bonding Company Address Address M ,r*, -* • - PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 9 Job Address Permit. Typircie on€, : BUILDING ELE ;' i.CAC WOM DESCRIPTION 6/'7S ///1!L-' *' GL14 - 16 - '4. /7 (44op / s ttA 6 OCL( r ,46 i9 15 /9 / � ) v Square Pt. SS# WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on th' *tar' .,d.,- (:f ar• ; ic._'_. T _. Yarn req..ired tor ELBCTRI OWNER'S AFFIDAVIT: I certify that all the foregoing information is accura - and that all work will done in compliance with all applicable laws regulating co zoning. rmore, I roorize th above -n contractor to do the work sta Sign Date: - own , �cp � drgA dati to My Commission Expir C0 SION EXP. APR. 1,1994 D THRU GENERAL INS. UN). ** * APPROVED: Mechanical '7g0 NL 5 4-3 - 60 -/ 6IK � 0A/4//,,- aVA0¢/ - - Master Permit Phone i.T Address /r/Y - Estimated Cost(value)!j1 rprtifv rh.' 'I work 14'1 be pe' rc i 'co. meet :1.a 'on. ...mot.. K.1Ur ING !,;hAty d LAL WOkt.. 'RRzY 1 'S"f,4 'OF TLAR'filpl ** &SY CefflifISSITC1N TXR. 'MAR.2$,1994 j FEES: PERMIT /O' 0t2 RADON C.C.F. 5O NOT s F1.11`1tNSRAL iitiT.AENIDUE Fire Other Zoning Building .. - Electrical Ze gineering Tax Folio /f 32QCO -O /` / /a 6O ��979 .�rf►NICAL i OOt'lNv ::t41NG . sENCE .iIGN e of Contractor or- Owner- Builder Notary as to Contractor or Owner- Builder My Commission Expires: OWNER LOT BLOCK SUBDIVISION Date iami cShores9llage F L O R I D A PLUMBING PERMIT N9 883 Issued to to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. For a _ / story building at Fixtures Fixtures $ Sewer $ Septic Tank $ Total $ Village Plumbing Inspector Received Payment by / Cq( Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address W.O_Pk.Thcmp No 7 street__95th..Sto . Registered Architect and/or Engineer Employing Plumber's Name Brooks Sprinkler Coo N 880 NW 54th Stst Location and Legal Description Lot . _ . Block_ Subdivision Street and Number where work is to be performed—No._ 7_9 NE 95th 3t Street 2" Well State work to be performed and purpose of building (By Floors)_. New Building Remodeling___ Addition_ Repairs No. of Stories. Size Septic Tank Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. ------ ------- ------------- Amount of Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING rivirr Type of Tank (Signed) Capacity Gals _Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his olfgatlons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed Date Oct 0 28 1958 STATE OF FLORIDA, } as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made •necessary by improper notice for inspection, or faulty materials and/or workmanship. CLOSETS BATH TUBS S LAVA- TORIES SIN" SLOP SINKS LAUNDRY T URINALS CATCH BAG' N FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK — SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW I M • GI POOL Corrm. LIOT X —._ CHECK / Cq( Permit No Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address W.O_Pk.Thcmp No 7 street__95th..Sto . Registered Architect and/or Engineer Employing Plumber's Name Brooks Sprinkler Coo N 880 NW 54th Stst Location and Legal Description Lot . _ . Block_ Subdivision Street and Number where work is to be performed—No._ 7_9 NE 95th 3t Street 2" Well State work to be performed and purpose of building (By Floors)_. New Building Remodeling___ Addition_ Repairs No. of Stories. Size Septic Tank Feet of Drain Tile _Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City—Well. ------ ------- ------------- Amount of Permit MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING rivirr Type of Tank (Signed) Capacity Gals _Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his olfgatlons as an employer of labor under the Florida Workmen's Compensation Act, being Section 5968, Compiled General Laws of Florida Permanent Supplement, and bus com- plied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub-contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed Date Oct 0 28 1958 STATE OF FLORIDA, } as. COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made •necessary by improper notice for inspection, or faulty materials and/or workmanship. I J ,f 4' ; : ( r•-.4: (-7, 7 • CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNTAINS TOTAL FIXTURES 1 i 1 Sketch position of building and lot lines in square (which represents an entire city block), showing on which street the building and lot faces; also show exact location of "Y" in street and position of lateral or septic tank. Show sewer and any change in direction same may make. The purpose of this plan is to have an accurate layout of all underground pipes for future references. WEST NORTH A SOUTH EAST Remarks: NORTH SOUTH A-244 5 -35 5M Employing Pluniiber For a Owner or Agent Builder or Contractor is Lot No. Address Ground I herewith submit the following plan of plumbing for approval: Work executed by Date ROUGH -IN INSPECTION Rough -In Rain Leader AM PM. Approved by Condemned by REMARKS Plan No New (6 • Dwelling Store ❑ Garage ❑ Apartment ❑ Hotel ❑ —� -_ Address 7 2/ /(-) ? °/} Address 7"9 / C1 , U • Block No. DIVISION OF PLUMBING INSPECTION DEPARTMENT OF PUBLIC SERVICE MIAMI, FLORIDA Old ❑ Sewer Connections At center of St. ❑ , At curb ❑ Subdivision Story Date— SEWER INSPECTION A M P M Approved by Condemned by REMARKS Sewer Permit No Addition ❑ Remodeled ❑ • 1 At property line ❑ Existing in alley ❑ Existing bldg. sewer ❑ To septic tank ❑ Existing bldg. drain ❑ To dry well ❑ A charge of $1.00 will be made for correcting any inaccuracies in the foregoing information. DO NOT WRITE IN SPACE BELOW. THIS IS FOR THE USE OF THE DIVISION OF PLUMBING INSPECTION ONLY. Date FINAL INSPECTION Office Bldg. ❑ A M. P M. Approved by Condemned by REMARKS THIS SPACE FOR ELEVATION SKETCH In alterations to existing work show the old work in red ink and the new in black ink. Letter each stack to zorrespond with the opening shown in floor plan or ground plan on opposite page. A PERSPECTIVE SKETCH WILL BE SUFFICIENT PROVIDED THE WORK CAN BE CLEARLY SHOWN THIS SPACE FOR PLAN SKETCH Show location of stacks and horizontal drains inside building, lettering each opening to correspond with the stock connections as shown on the elevation sketch on opposite page. Where ground work is concealed, draw floor plan of building showing location of walls, partitions, columns, etc., and the location of all horizontal soil and waste pipes, in reference to same. Permit No I Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. RALaMO MORES V 111.11.61E PLUMBING INSPECTION DEPARTMENT APPLVCATION FOR PLLI 811N G PERMIT (Signed) N70 ®1097 38 2,00 70 ..1D 2.00 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - - - -,I. _E. eta t ers No. _7.90. .11,E__ -- Street 9.5...: ' • e . _ ...._. . . Registered Architect and /or Engineer ____------------- Employing Plumber's Name Peo ._L..as _ ysj m - - - -- No. - - -_5b1 -- -mss, Street_ - - - 25. Location and Legal Description Lot__ Block Subdivision_ Street and Number where work is to be performed— No.____-- --___.______ -_ -_ _ -- Street State work to be performed and purpose of building (By Floors) New Building ___ Remodeling____- Addition Repairs No. of Stories . . .... .. ...... . Size Septic Tank. Type of Tank Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.__—._— ________________ __----- ___________ _____ ___-Size of Soakage Pit ( Signed) __ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation . a an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent I .plement, and has com- plier with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe. by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Date - - -- •----- - --- - --- - 10/8/70 ----- - - - - °- - - -- •— _____ __ _._. Capacity Gals... My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when ouch re- inspection is made necessary by improper notice for insf. '•I, or faulty materials and /er worlmnanship. CLOIIQTB BATH TUBS SHOWERS LAVA- TORIES S INKS SLOP SINKS LAUNDRY TUBE U URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' N6 S.Roe f Mp t - pr' FIUTUREB TOTAL C e 1 1 2 CHECK SEPTIC TANK SEWER CORP!. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Permit No I Amount of Permit $ STATE OF FLORIDA, I COUNTY OF DADE. RALaMO MORES V 111.11.61E PLUMBING INSPECTION DEPARTMENT APPLVCATION FOR PLLI 811N G PERMIT (Signed) N70 ®1097 38 2,00 70 ..1D 2.00 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address - - - -,I. _E. eta t ers No. _7.90. .11,E__ -- Street 9.5...: ' • e . _ ...._. . . Registered Architect and /or Engineer ____------------- Employing Plumber's Name Peo ._L..as _ ysj m - - - -- No. - - -_5b1 -- -mss, Street_ - - - 25. Location and Legal Description Lot__ Block Subdivision_ Street and Number where work is to be performed— No.____-- --___.______ -_ -_ _ -- Street State work to be performed and purpose of building (By Floors) New Building ___ Remodeling____- Addition Repairs No. of Stories . . .... .. ...... . Size Septic Tank. Type of Tank Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City— Well.__—._— ________________ __----- ___________ _____ ___-Size of Soakage Pit ( Signed) __ The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligation . a an employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Permanent I .plement, and has com- plier with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employe. by him in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub- contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Date - - -- •----- - --- - --- - 10/8/70 ----- - - - - °- - - -- •— _____ __ _._. Capacity Gals... My Commission Expires Notary Public, State of Florida Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the. _.. of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when ouch re- inspection is made necessary by improper notice for insf. '•I, or faulty materials and /er worlmnanship. Miami cjhores Tllage 1 L 0 A 1 D A PLUMBING PERMIT N9 _ 883 Mired to -I/ to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. Fora story , ,/ � ,' • .2 building at 77 Fixtures . Fixtures $ .57- Sewer $ / S�Qtic Tank $ ,/,(1---0 • Total $ - SI; Village Plumbing Inspector • Received Payment by y� / ,9 OWNER LOT BLOCK SUBDIVISION v .' �' e , } W ,- x it C d '> + Miami cjhores Tllage 1 L 0 A 1 D A PLUMBING PERMIT N9 _ 883 Mired to -I/ to install the following described plumbing, in accordance with the laws, statutes and regu- lations of Miami Shores Village, Florida and the State of Florida, governing plumbing and drainage work done in Miami Shores Village, Florida. Fora story , ,/ � ,' • .2 building at 77 Fixtures . Fixtures $ .57- Sewer $ / S�Qtic Tank $ ,/,(1---0 • Total $ - SI; Village Plumbing Inspector • Received Payment by y� / ,9 BUILE 4G ELECTRICAL PLUMBING Owner of Building Architect Contractor or Builder Legal Description Lot MIAMI SHORES VILLAGE, FLORIDA ERMIT N9 6347 Work to be performed under this Permit (// ' u - 0 / CONTRA OA BUILDER /L Bl. • Address of () = Value of Amt. of �� ' ,, Building P. . 2 Project Permit ii / >- This pe = > ranfedto_the contra or. or. builde ame: - above to construct the building or to install the equipment or evice described in the appli- cation herefor ' stri t compliance with all ordinances pertaining thereto and w th the understanding that the work wil be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this , ermit is granted is the understanding that the contractor or builder named above assu os the responsibilit for a thorough knowledge,.f e ordinances and igulations pertaining to the work covered hereby whether shown on the plans or + ings / or s ents or specifications aid seat &assumes respon- bility for work done by his agents, servants or employees. ; � a Sign• 1• t .'.1/ : :y . By E j ' SPECTOR y \ In consideration of the issuance to me of this permit I agree to erf• u the work covered hereunder in compliance with all ordinances ancrTgu1$tions 'ning thereto and in strict conformity with the plans, drawings, tements or specifications submitted to the proper authorities of Miami S ress''VViilllage: :pting this permit I assume responsibility for all work done by ether myself, my agent, servant or employee. Subdi- vision DATE Contractor's License No. F BY AUTHORITY MIAMI SHORES VILLAGE, FLORIDA "7- BUILDING ■ DATE ELECTRICAL p o — MIT N? 6386 PLUMBING Legal Description Address of Building Lot Owner of r Building Architect Bl. Contractor or Builder >- ' 1 CONTRACTOR OR BUILDER Work to be performed under this Permit Subdi- vision Value of Project " ewe 12 194 Contractor's License No Amt. of Permit This permit . gr. `ted to the con actor or buil er named above to construct the building or to install the equipment or device described in the appli- cation herefor in ict compliance with all ordinances pertaining thereto and w th the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or awings or i the sta e ents or specifications and that h� assumes respon- sibility for work done by his agents, servants or employees. i c! �°� �' Signed ,? , i d' 1 ic=e By"1. it • ° INSPECTOR In consideration of the issuance to me of this permit I agree to perform he work covered hereunder in compliance with all ordinances and re ulations pertaining thereto and in strict conformity with the plans, drawings, state " nts or specifications submitted to the proper auth6i7hes of Miami Sh& Ii' age. In accepting this permit I assume responsibility for all work done by either myself, my agent, servant or employee. BY AUTHORITY Permit No — building during progress of work. i7 L Location and Legal Description Lot STATE OF FLORIDA, ss. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT - APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at Fs Owner's Name and Address Registered Architect and /or Engine r �, Employing Plumber's Name __ �� r � -e No. Block_______________ Subdivision Street and Number where work is to be performed —No.__ Street State work to be perfornied and purpose of building (By Floors) New Building. Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ '> ------ - - - - -- (Signed r��/I ✓l , _ z9 , Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that hi derstands and accepts his obli ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are (-; licensed by Miami Shores Village. �? �/� , -,,a tis' (Signed) sh e Street Date No Street Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOIPNT'NS 6 ',> n J ` c;4 ye , TOTAL FIXTURES CONTR. LIST CHECK SEPTIC' TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SWIM•G POOL CONTR. LIST CHECK Permit No — building during progress of work. i7 L Location and Legal Description Lot STATE OF FLORIDA, ss. COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT - APPLICATION FOR PLUMBING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at Fs Owner's Name and Address Registered Architect and /or Engine r �, Employing Plumber's Name __ �� r � -e No. Block_______________ Subdivision Street and Number where work is to be performed —No.__ Street State work to be perfornied and purpose of building (By Floors) New Building. Remodeling Addition Repairs No. of Stories Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Amount of Permit $ '> ------ - - - - -- (Signed r��/I ✓l , _ z9 , Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that hi derstands and accepts his obli ations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are (-; licensed by Miami Shores Village. �? �/� , -,,a tis' (Signed) sh e Street Date No Street Master Plumber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING Owner of -\ f , )a° ' Building (/" i.. 4 ' ,%C a 4',.44 r, Architect Contractor d' or Builder , ..! Legal Description Address of ( 1 " Value of V Amt. of Building a , (.7 f. 1 ( - o k Project 1 r ) Permit 0 a. This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the appli- cation herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be perfonned in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed withg it authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above a mes ae jesponsibility,, or. a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans o Tawin- m s o the gtatementt or specifications and that he assumes respon- sibility for work done by his agents, servants or employees. 6 m In consideration of the issuance to me of this permit I agree to perform the work cover hereunder in compliance wit ordinances an4j regu tions pertainin� thereto and in strict conformity with the plans, drawings, statements or specifica ' ns submitted to the proper autho of Miami ShtjrMM° Village. In acceyyfi g this permit I assum# resjp,onsibility or all work done by either myself, my agent, servant or employee. a P CONTRACTOR OR BUILDER Lot MIAMI SHORES VILLAGE, FLORIDA DATE PERMIT N° 5500 Work to be performed under this Permit of if d if Bi. Signed. Contractor's / b / G License No Subdi- vision C J 4SRTCTOR. BY AUTHORITY 1942i - a. , 6 Company r Job REQUEST FOR INSPECT Address Inspection ---- Time Ready Date Ready , 0% 0 ‘71 A.M. PHONE 1 REQUEST FOR J C Job Addre Inspection Time Read Date Ready Amount of Permit $____ ss. Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.? - ^ -- --- Date b ` / �' � % _ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and confonnity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work /) Owner's Name and Address c "" a , rte - - -- No . �f 7 (U Street— AL n ¢ , 7 Registered Architect and /or ngineer i p, ____ _4L Employing Plumber's Name ��_ Street 1 Location and Legal Description Lot Block____ Subdivision Street and Number where work is to be performed —No. _ Street__ _ _, C� a State work to be performed and purpose of building (By Floors) New Building Remodeling____ Addition Repairs No. of Stories Size Septic Tank , Type of Tank Capacity Cats Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ____ _ ( Signed) / _ Y/ G! � " dam! :, , Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he iriderstands and accepts his obigations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this perniit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) 7 ,.,____%/ t%� /, ='< Master Plumber. • STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. ca ° CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK O --/�— C SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'G POOL CONTR. LIST CHECK Amount of Permit $____ ss. Nature of Water Supply: City —Well MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT Permit No.? - ^ -- --- Date b ` / �' � % _ Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and confonnity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work /) Owner's Name and Address c "" a , rte - - -- No . �f 7 (U Street— AL n ¢ , 7 Registered Architect and /or ngineer i p, ____ _4L Employing Plumber's Name ��_ Street 1 Location and Legal Description Lot Block____ Subdivision Street and Number where work is to be performed —No. _ Street__ _ _, C� a State work to be performed and purpose of building (By Floors) New Building Remodeling____ Addition Repairs No. of Stories Size Septic Tank , Type of Tank Capacity Cats Feet of Drain Tile __Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit ____ _ ( Signed) / _ Y/ G! � " dam! :, , Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he iriderstands and accepts his obigations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this perniit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) 7 ,.,____%/ t%� /, ='< Master Plumber. • STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. ca ° Permit No. / � 6 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of w rk. Owner's Name and Address - No. Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot. ______ Block _ Subdivtslo Street and Number where work is to be performed —No 6 Street. State work to be performed and purpose of building (By Floors)_ New Building Remodeling._____._._____ _.___ .____ Addition__. Repairs No. of Stories Size Septic Tank Type of Tank_. Feet of Drain Tile Dist. Feet of Tank or Drain Field from We1L Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.. Street. (Signed)._ Date Street Capacity Cals. 0 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an'employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as an licensed by Miami Shores Village. (Signed) - -- - - - Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he, did sign the same, and that all lac therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fall) materials and /or workmanship. CLOGEYe BATH 7USg SHOWERS LAVA- TORIES INK KS SLOP SINKS LAUNDRY Tinos URINALS U RINALS CATCH FLOOR DRAIN DRINKI NG FOUNT' NS TOTAL FIXTURE! CONTR. LIST _ CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IM'O POOL CONTR. LIST CHECK Permit No. / � 6 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Divisior of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of w rk. Owner's Name and Address - No. Registered Architect and /or Engineer Employing Plumber's Name Location and Legal Description Lot. ______ Block _ Subdivtslo Street and Number where work is to be performed —No 6 Street. State work to be performed and purpose of building (By Floors)_ New Building Remodeling._____._._____ _.___ .____ Addition__. Repairs No. of Stories Size Septic Tank Type of Tank_. Feet of Drain Tile Dist. Feet of Tank or Drain Field from We1L Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT No.. Street. (Signed)._ Date Street Capacity Cals. 0 Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an'employer of labor under the Florida Workmen's Compensation Act, being Section 5988, Compiled General Laws of Florida Pennanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as an licensed by Miami Shores Village. (Signed) - -- - - - Master Plumber. STATE OF FLORIDA, COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeare to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he, did sign the same, and that all lac therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or fall) materials and /or workmanship. %' ) Permit No __ -9 -- Amount of Permit $ State work to be performed and purpose of building (By Floors) New Building Remodeling - ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No Street _ - - -_- Registered Architect and /or Engineer Employing Plumber's Name_ No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street My Commission Expires Notary Public, State of Florida Addition Repairs No. of Stories Size Septic Tank T Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. , (Signed) Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application,' and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT' NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL. SPRKLR. SYSTEM SWIM'G POOL CONTR. -LIST CHECK %' ) Permit No __ -9 -- Amount of Permit $ State work to be performed and purpose of building (By Floors) New Building Remodeling - ss. MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT ( Signed) Date Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address No Street _ - - -_- Registered Architect and /or Engineer Employing Plumber's Name_ No Street Location and Legal Description Lot Block Subdivision Street and Number where work is to be performed —No Street My Commission Expires Notary Public, State of Florida Addition Repairs No. of Stories Size Septic Tank T Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Nature of Water Supply: City —Well Size of Soakage Pit Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. , (Signed) Master Plumber. STATE OF FLORIDA, t COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application,' and that he did sign the same, and that all facts therein by him stated are true. NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. ' Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, vyhgther herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address__. �. ��� No Registered Architect and /or En ineer Employing Plumber's Name� -�� % Street Location and Legal Description Lot ' Block Subdivision' Street and Number where work is to be performed —No r _ 7 State work to be performed and purpose of building (By Floors New Building Remodeling Addition Repairs ; !..`._ No. of Sto es Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ ss. MIAMI SHORES VILLAGE. PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Date eet / Street � , L- 1 /7 ,c Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be perfonned under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) A STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the fo regoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Master Plumber. CLOSETS BATH TUBS SHOWERS LAVA- TORIES SINKS SLOP SINKS LAUNDRY TUBS URINALS CATCH BASIN FLOOR DRAIN DRINKING FOUNT'NS TOTAL FIXTURES CONTR. LIST CHECK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR H EATER DEEP WELL SPRKLR. SYSTEM SWIM'G POOL CONTR. LIST CHECK , ' Permit No. Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, vyhgther herein specified or not. A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address__. �. ��� No Registered Architect and /or En ineer Employing Plumber's Name� -�� % Street Location and Legal Description Lot ' Block Subdivision' Street and Number where work is to be performed —No r _ 7 State work to be performed and purpose of building (By Floors New Building Remodeling Addition Repairs ; !..`._ No. of Sto es Size Septic Tank Type of Tank Capacity Gals Feet of Drain Tile Dist. Feet of Tank or Drain Field from Well Size of Soakage Pit Nature of Water Supply: City —Well Amount of Permit $ ss. MIAMI SHORES VILLAGE. PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT (Signed) Date eet / Street � , L- 1 /7 ,c Plumbing Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, and has com- plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be perfonned under this permit; and will post or cause to be posted for inspection on the site of the work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) A STATE OF FLORIDA, 1 COUNTY OF DADE. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally appeared to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the fo regoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Master Plumber.